AimTo explore specialist homeless health professionals' perceptions of gaps in homeless health care and understand whether these might be addressed through existing nursing scopes of practice.DesignQualitative descriptive study.MethodsSemi‐structured interviews and focus groups with a purposive sample of 22 staff in nursing (11) and non‐nursing (11) roles, engaged with a Homeless Health Service. Data were collected via videoconferencing and recordings transcribed verbatim. An exploratory framework guided deductive and inductive thematic analysis.ResultsService gap themes included the need for integration with mainstream health services, more specialised health professionals, and adaptations to the existing models of care. Addressing these gaps involved enhancements to the broad scope of nursing practice, workforce development by establishing homeless health as a nursing specialty and optimising organisational governance to minimise risk.ConclusionThe most pressing homeless health service delivery gap was lack of health service integration, and it was unclear how this could be resolved through nursing scopes of practice. Other service gaps could be addressed through skilling nurses to practice preventative health care, as well as crisis management. Enhancing nurses' capability in physical and mental health assessment skills including alcohol and other drugs and procedural skills would support wraparound care for people experiencing homelessness. We conclude that a homeless health nursing specialty could be established that formalises the scope of practice of nurses in this field to ensure future post‐graduate training aligns with service gaps.ImpactThis study identifies opportunities to optimise nursing scopes of practice to address Homeless Health Service gaps through reviewing models of care and nursing practice. For example, enhancing nurses' capability to provide preventative and wraparound care. This research may inform a development pathway to enhance education and training for nurses working with vulnerable populations.Reporting MethodsCOREQ 32‐item checklist.No patient or public contribution.

中文翻译：

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优化无家可归者健康服务的护理实践范围：一项定性描述性研究


目的探讨专业的无家可归健康专业人员对无家可归者医疗保健差距的看法，并了解这些差距是否可以通过现有的护理实践范围来解决。设计定性描述性研究。方法半结构化访谈和焦点小组，有目的的样本为 22 名从事护理 （11） 和非护理 （11） 角色的工作人员，与无家可归者健康服务机构合作。通过视频会议收集数据，并逐字转录录音。探索性框架指导演绎和归纳主题分析。结果服务差距主题包括需要与主流卫生服务整合、更专业的卫生专业人员以及适应现有的护理模式。解决这些差距涉及加强护理实践的广泛范围，通过将无家可归者健康确立为护理专业来发展劳动力，以及优化组织治理以最大限度地降低风险。结论最紧迫的无家可归者健康服务提供差距是缺乏健康服务整合，目前尚不清楚如何通过护理实践范围解决这一问题。其他服务差距可以通过培训护士进行预防性医疗保健以及危机管理来解决。提高护士的身体和心理健康评估技能（包括酒精和其他药物）和程序技能的能力，将支持对无家可归者的全方位护理。我们得出的结论是，可以建立一个无家可归的健康护理专业，正式确定护士在该领域的执业范围，以确保未来的研究生培训与服务差距保持一致。影响本研究通过审查护理模式和护理实践，确定优化护理实践范围以解决无家可归者健康服务差距的机会。例如，提高护士提供预防和全方位护理的能力。这项研究可能会为加强与弱势群体打交道的护士的教育和培训提供一条发展途径。报告方法COREQ 32 项清单。没有患者或公众的贡献。